Women s Sexual Health: STI and HIV Screening. Barbara E. Wilgus, MSN, CRNP STD/HIV Prevention Training Center at Johns Hopkins
|
|
- Maximilian Jordan
- 5 years ago
- Views:
Transcription
1 Women s Sexual Health: STI and HIV Screening Barbara E. Wilgus, MSN, CRNP STD/HIV Prevention Training Center at Johns Hopkins
2 I have no disclosures! Review most recent rates of STIs and HIV across the US Discuss CDC s STD Screening Guidelines for women Provide information about resources for creating your own sexual health protocol [even to advocate for yourself as a patient!]
3 STIs and HIV: What s Happening with Women?
4 Chlamydia Rates of Reported Cases Among Women by State, United States and Outlying Areas, 2016 NOTE: The total rate of reported cases of chlamydia among women in the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was per 100,000 females.
5 Chlamydia Rates of Reported Cases by Age Group and Sex, United States, 2016
6 Chlamydia Percentage of Reported Cases Among Women by Reporting Source*, United States, * Includes the top five reporting sources for chlamydia cases reported among women, plus those with reporting sources listed as All Other and Missing/Unknown. HMO = health maintenance organization; HD = health department. NOTE: All Other includes: Drug Treatment, Tuberculosis Clinic, Correctional Facility, Blood Bank, Labor and Delivery, Prenatal Care, National Job Training Program, School-based Clinic, Mental Health Provider, Indian Health Service, Military, Emergency Room, STD Clinic, HIV Counseling and Testing Site, and Other.
7 Gonorrhea Rates of Reported Cases Among Women by State, United States and Outlying Areas, 2016 NOTE: The total rate of reported cases of gonorrhea among women in the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was per 100,000 females.
8 Gonorrhea Rates of Reported Cases by Age Group and Sex, United States, 2016
9 Gonorrhea Rates of Reported Cases Among Women Aged Years by Age Group, United States,
10 Gonorrhea Percentage of Reported Cases Among Women by Reporting Source*, United States, * Includes the top five reporting sources for gonorrhea cases reported among women, plus those with reporting sources listed as All Other and Missing/Unknown. HMO = health maintenance organization. NOTE: All Other includes: Drug Treatment, Tuberculosis Clinic, Correctional Facility, Blood Bank, Labor and Delivery, Prenatal Care, National Job Training Program, School-based Clinic, Mental Health Provider, Indian Health Service, Military, Emergency Room, Other Health Department Clinic, HIV Counseling and Testing Site, and Other.
11 Primary and Secondary Syphilis Rates of Reported Cases Among Women by State, United States and Outlying Areas, 2016 NOTE: The total rate of reported cases of primary and secondary syphilis among women in the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 1.9 per 100,000 females.
12 Primary and Secondary Syphilis Rates of Reported Cases by Sex and Male-to-Female Rate Ratios, United States,
13 Primary and Secondary Syphilis Rates of Reported Cases Among Women Aged Years by Age Group, United States,
14 Congenital Syphilis Rates of Reported Cases Among Infants by Year of Birth and State, United States and Outlying Areas, 2016 NOTE: The total rate of reported cases of congenital syphilis for infants by year of birth for the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 15.7 per 100,000 live births.
15 Congenital Syphilis Reported Cases by Year of Birth and Rates of Reported Cases of Primary and Secondary Syphilis Among Women, United States, * CS = Congenital syphilis; P&S = Primary and secondary syphilis.
16 Rates of Diagnoses of HIV Infection among Female Adults and Adolescents 2016 United States and 6 Dependent Areas N = 7,639 Total Rate = 5.5 Note. Data for the year 2016 are preliminary and based on 6 months reporting delay.
17 Diagnoses of HIV Infection among Female Adults and Adolescents by Transmission Category and Age at Diagnosis 2016 United States and 6 Dependent Areas Note. Data for the year 2016 are preliminary and based on 6 months reporting delay. Data have been statistically adjusted to account for missing transmission category. a Heterosexual contact with a person known to have, or to be at high risk for, HIV infection. b Includes blood transfusion, perinatal exposure, and risk factor not reported or not identified.
18 Diagnoses of HIV Infection and Population among Female Adults and Adolescents, by Race/Ethnicity, 2016 United States Note. Data for the year 2016 are preliminary and based on 6 months reporting delay. a Hispanics/Latinos can be of any race.
19 Deaths of Female Adults and Adolescents with Diagnosed HIV Infection by Race/Ethnicity, 2015 United States Note. Deaths of persons with diagnosed HIV infection may be due to any cause. Rates are per 100,000 population. a Includes Asian/Pacific Islander legacy cases. b Hispanics/Latinos can be of any race.
20 Creating Your Own Sexual Health Protocol
21
22
23
24 Sexual Health Protocol: History Partners Practices Protection from STIs Past history of STIs Prevention of pregnancy And, a bonus P : PLEASURE
25 STI Screening: Physical exam Visual inspection: Skin and mucous membranes [rashes, lesions, warts] Is discharge present? Note location [urethral, vaginal, cervical, rectal] and consistency [purulent, clear, cottage cheese, frothy, etc] For ASYMPTOMATIC screening: consider express testing for self collection of swabs
26 CDC Screening Guidelines: Chlamydia Women Sexually active women under 25 years of age 1 Sexually active women aged 25 years and older if at increased risk 2 Retest approximately 3 months after treatment 3 Pregnant Women All pregnant women under 25 years of age 1 Pregnant women, aged 25 and older if at increased risk 2 Retest during the 3rd trimester for women under 25 years of age or at risk 3,4 Pregnant women with chlamydial infection should have a test-of-cure 3-4 weeks after treatment and be retested within 3 months 1 Men *Consider screening young men in high prevalence clinical settings 5 or in populations with high burden of infection (e.g. MSM) 6 Men Who have Sex With Men (MSM) Persons with HIV At least annually for sexually active MSM at sites of contact (urethra, rectum) regardless of condom use 6 Every 3 to 6 months if at increased risk 7 For sexually active individuals, screen at first HIV evaluation, and at least annually thereafter8 More frequent screening for might be appropriate depending on individual risk behaviors and the local epidemiology 8 Centers for Disease Control and Prevention, 2015 STD Treatment Guidelines
27 CDC Screening Guidelines: Gonorrhea Women Sexually active women under 25 years of age 1 Sexually active women age 25 years and older if at increased risk 9 Retest 3 months after treatment 10 Pregnant Women All pregnant women under 25 years of age and older women if at increased risk11 Retest 3 months after treatment 10 Men Who have Sex With Men (MSM) At least annually for sexually active MSM at sites of contact (urethra, rectum, pharynx) regardless of condom use 10 Every 3 to 6 months if at increased risk 7 Persons with HIV For sexually active individuals, screen at first HIV evaluation, and at least annually thereafter10 More frequent screening for might be appropriate depending on individual risk behaviors and the local epidemiology 10 Centers for Disease Control and Prevention, 2015 STD Treatment Guidelines
28 Why do extragenital testing (GC and CT)? From July 2003 until February 2007, 441 rectal test sets were collected from individuals attending a sexually transmitted disease clinic and three HIV clinics who gave a history of anal intercourse or were women at high risk for Neisseria gonorrhoeae or Chlamydia trachomatis infections. Over 60% and 80% of gonococcal and chlamydial infections, respectively, among men who have sex with men and over 20% of chlamydial infections in women would have been missed if the rectal site had not been tested.* Baltimore STD clinics: among women endorsing extragenital exposures, 30.3% of GC infections and 13.8% of CT infections would have been missed with urogenital-only testing.** *Bachmann LH et al. J Clin Micro 2010: ; **Trebach et al. STD 2015.
29 CDC Screening Guidelines: Syphilis Pregnant Women All pregnant women at the first prenatal visit11 Retest early in the third trimester and at delivery if at high risk 12 Men Who have Sex With Men (MSM) At least annually for sexually active MSM 13 Every 3 to 6 months if at increased risk 7 Persons with HIV For sexually active individuals, screen at first HIV evaluation, and at least annually thereafter14,15,16 More frequent screening might be appropriate depending on individual risk behaviors and the local epidemiology 13 Centers for Disease Control and Prevention, 2015 STD Treatment Guidelines
30 CDC Screening Guidelines: HIV Women All women aged years (opt-out)** 18 All women who seek evaluation and treatment for STDs 19 Pregnant Women All pregnant women should be screened at first prenatal visit (opt-out)20 Retest in the third trimester if at high risk 21 Men All men aged (opt-out)** 18 All men who seek evaluation and treatment for STDs 19 Men Who have Sex With Men (MSM) At least annually for sexually active MSM if HIV status is unknown or negative and the patient himself or his sex partner(s) have had more than one sex partner since most recent HIV test 22 Centers for Disease Control and Prevention, 2015 STD Treatment Guidelines
31 CDC guidelines: STIs and PrEP Assess for STIs at baseline! CDC guidelines: screen MSM for STIs every 3-6 mos if at increased risk. Bacterial STDs = Gonorrhea, Chlamydia and Syphilis
32 In Summary: Rates of STIs are at an all time high, INCLUDING FOR WOMEN Rates of HIV in women, particularly women of color, should not be discounted Advocate for, and implement, a sexual health protocol that includes comprehensive history, screening, treatment, and prevention
33 Thank you! Barbara Wilgus, MSN, CRNP
STI Indicators by STI
STI Indicators by STI Table of Contents pg. 2 Sexual History pg. 3-4 Syphilis pg. 5-6 Gonorrhea pg. 7-9 Chlamydia pg. 10 HIV/PrEP 1 Sexual History Comprehensive Sexual History Elements Percentage of patients
More informationTrends in STDs: US Perspective. Michael Towns, M.D. WW Vice President, Medical Affairs BD Diagnostic Systems
Trends in STDs: US Perspective Michael Towns, M.D. WW Vice President, Medical Affairs BD Diagnostic Systems Outline Overview of STD Epidemiology and Current Situation in US Overview of Chlamydia infections
More information4. Chlamydia. Treatment: Treating infected patients prevents further transmission to sex partners. In addition, treatment of chlamydia in pregnant
Photomicrograph of Chlamydia trachomatis, taken from a urethral scrape. 4. Chlamydia Chlamydia trachomatis infection is the most commonly reported sexually transmitted disease (STD) in the United States,
More informationThe Impact of Sexually Transmitted Diseases(STD) on Women
The Impact of Sexually Transmitted Diseases(STD) on Women GAL Community Symposium AUM September 2, 2011 Agnes Oberkor, MPH, MSN, CRNP, Nurse Practitioner Senior Alabama Department of Public Health STD
More informationSexually Transmitted Disease (STD) Surveillance Report, 2017
This document is made available electronically by the Minnesota Legislative Reference Library as part of an ongoing digital archiving project. http://www.leg.state.mn.us/lrl/lrl.asp Sexually Transmitted
More informationSexually Transmitted Infections. Kim Dawson October 2010
Sexually Transmitted Infections Kim Dawson October 2010 Objectives: You will learn about: Sexually Transmitted Infections (STI s). How they are transferred. High risk behavior. The most common STI s. How
More informationALASKA NATIVE MEDICAL CENTER SEXUALLY TRANSMITTED DISEASE SCREENING AND TREATMENT GUIDELINES
ALASKA NATIVE MEDICAL CENTER SEXUALLY TRANSMITTED DISEASE SCREENING AND TREATMENT GUIDELINES A. Screening Page Chlamydia and Gonorrhea 1 HIV 1 Syphilis 1 Genital Herpes 2 Hepatitis A 2 Hepatitis B 2 Hepatitis
More informationTrends in Reportable Sexually Transmitted Diseases in the United States, 2007
Trends in Reportable Sexually Transmitted Diseases in the United States, 2007 National Surveillance Data for Chlamydia, Gonorrhea, and Syphilis Sexually transmitted diseases (STDs) remain a major public
More informationAnswers to those burning questions -
Answers to those burning questions - Ann Avery MD Infectious Diseases Physician-MetroHealth Medical Center Assistant Professor- Case Western Reserve University SOM Medical Director -Cleveland Department
More informationChlamydia Curriculum. Chlamydia. Chlamydia trachomatis
Chlamydia Chlamydia trachomatis 1 Learning Objectives Upon completion of this content, the learner will be able to: 1. Describe the epidemiology of chlamydial infection in the U.S. 2. Describe the pathogenesis
More informationEPIDEMIC OF SYPHILIS
Brian Sandoval Governor Richard Whitley, MS Director Julie Kotchevar, PhD Administrator Ihsan Azzam, PhD, Md Chief Medical Officer EPIDEMIC OF SYPHILIS Understanding the Clinical & Public Health Need for
More informationSexually Transmitted Diseases. Chlamydial. infection. Questions and Answers
Sexually Transmitted Diseases Chlamydial infection Questions and Answers What is chlamydial infection? It is a sexually transmitted infection caused by the bacteria Chlamydia trachomatis, being one of
More informationSTRATEGIES TO REDUCE HIV INFECTION AMONG HBCU COLLEGE STUDENTS
STRATEGIES TO REDUCE HIV INFECTION AMONG HBCU COLLEGE STUDENTS ORLANDO O. HARRIS, PhD, RN, FNP, MPH FELLOW CENTER FOR AIDS PREVENTION STUDIES (CAPS) DEPARTMENT OF MEDICINE UNIVERSITY OF CALIFORNIA, SAN
More informationFamily Planning Title X Chlamydia Screening Quality Improvement Project
Family Planning Title X Chlamydia Screening Quality Improvement Project Illinois Department of Public Health STD Section Staff March 22, 2017 Objectives Discuss current STD trends and epidemiology of chlamydia
More informationExtragenital Chlamydia and Gonorrhea. Angel Stachnik, MPH Sr. Epidemiologist Office of Epidemiology and Disease Surveillance
Extragenital Chlamydia and Gonorrhea Angel Stachnik, MPH Sr. Epidemiologist Office of Epidemiology and Disease Surveillance Rate of Chlamydia (CT) and Gonorrhea (GC), Clark County, 2012-2016 600 Rate per
More informationGenital Chlamydia and Gonorrhea Epidemiology, Diagnosis, and Management. William M. Geisler M.D., M.P.H. University of Alabama at Birmingham
Genital Chlamydia and Gonorrhea Epidemiology, Diagnosis, and Management William M. Geisler M.D., M.P.H. University of Alabama at Birmingham Chlamydia and Gonorrhea Current Epidemiology Chlamydia Epidemiology
More informationUpdate on Sexually Transmitted Infections Jeanne Marrazzo, MD, MPH
Update on Sexually Transmitted Infections Jeanne Marrazzo, MD, MPH Division of Infectious Diseases University of Alabama at Birmingham School of Medicine Birmingham, Alabama Outline Syphilis in all its
More informationSTD UPDATE 2017 FSACOFP CONVENTION
STD UPDATE 2017 FSACOFP CONVENTION L. Michael Waters, Jr, DO Adjunct Clinical Assistant Professor of Family Medicine LECOM-Bradenton Clinical Assistant Professor of Family Medicine PCOM- Georgia DISCLOSURES
More informationSTD UPDATE Patrick Loose, Chief HIV, STD & Hepatitis Branch February 15, 2018
Patrick Loose, Chief HIV, STD & Hepatitis Branch February 15, 2018 MISSION Improve health outcomes in communities disproportionately impacted by HIV and STDs Collect, study and publish data Diagnose and
More informationSexually Transmitted Diseases. Summary of CDC Treatment Guidelines
DC 2015 Sexually Transmitted Diseases Summary of CDC Treatment Guidelines These summary guidelines reflect the June 2015 update to the 2010 CDC Guidelines for Treatment of Sexually Transmitted Diseases.
More informationGAY MEN/MSM AND STD S IN NJ: TAKE BETTER CARE OF YOUR PATIENTS! STEVEN DUNAGAN SPECIAL PROJECTS COORDINATOR NJ DOH STD PROGRAM SEPTEMBER 27, 2016
GAY MEN/MSM AND STD S IN NJ: TAKE BETTER CARE OF YOUR PATIENTS! STEVEN DUNAGAN SPECIAL PROJECTS COORDINATOR NJ DOH STD PROGRAM SEPTEMBER 27, 2016 TOPICS FOR DISCUSSION What medical providers should know
More informationExtragenital Gonorrhea and Chlamydia among MSM
Extragenital Gonorrhea and Chlamydia among MSM Laura Quilter, MD Infectious Disease and STD PTC Fellow University of Washington Division of Allergy and Infectious Diseases 3/28/2016 uwptc@uw.edu uwptc.org
More information5/1/2017. Sexually Transmitted Diseases Burning Questions
Sexually Transmitted Diseases Burning Questions Jeffrey D. Klausner, MD, MPH Professor of Medicine and Public Health University of California Los Angeles Los Angeles, California FORMATTED: 04-03-17 Financial
More informationServices for GLBTQ Youth
Sexual Health Care Services for GLBTQ Youth Gale R Burstein, MD, MPH, FAAP, FSAHM Erie County Commissioner of Health Buffalo, NY Agenda Introduction Epidemiology Sexual health care services for YMSM Sexual
More informationSyphilis Update: New Presentations of an Old Disease
Syphilis Update: New Presentations of an Old Disease Bradley Stoner, MD, PhD Washington University in St. Louis Disclosure: Bradley Stoner, MD, PhD STDs in the United States Where do we stand right now?
More informationSexually Transmitted Infections in the Adolescent Population. Abraham Lichtmacher MD FACOG Chief of Women s Services Lovelace Health System
Sexually Transmitted Infections in the Adolescent Population Abraham Lichtmacher MD FACOG Chief of Women s Services Lovelace Health System STI in the Adolescent High school students nationwide, 34.2% were
More informationPartner Counseling and Referral Services
Partner Counseling and Referral Services Presented at the Sexually Transmitted Disease (STD) Intensive Course Cleveland, OH June 22, 2012 Rhiannon Richman, MPH Infertility Prevention Project Coordinator
More informationSexually Transmitted Diseases
Table of content Sexually Transmitted Diseases Judith A. Lightfoot DO, FACOI Update on the prevalence of STD s in the US Which populations are greatly affected? Should we be alarmed? How does this affect
More informationSexually Transmitted Disease (STD s) What are STDs? STD Myths. How common are STD s in Wisconsin? Can you think of any more STDs?
Sexually Transmitted Disease (STD s) I can summarize the signs and symptoms of common STD s, how they are transmitted, and how to protect against them. What are STDs? Infections/Diseases passed from person
More informationHIV Surveillance in Urban and Nonurban Areas. National Center for HIV/AIDS, Viral Hepatitis, STD & TB Prevention Division of HIV/AIDS Prevention
HIV Surveillance in Urban and Nonurban Areas National Center for HIV/AIDS, Viral Hepatitis, STD & TB Prevention Division of HIV/AIDS Prevention HIV Infection in Urban and Nonurban Areas Many ways to characterize
More informationDavid B. Johnson, STD Disparities Coordinator Division of STD Prevention National Center for HIV, Viral Hepatitis, STD, & TB Prevention November 13,
Disparities in STDs and HIV/AIDS: What ever Happens David B. Johnson, STD Disparities Coordinator Division of STD Prevention National Center for HIV, Viral Hepatitis, STD, & TB Prevention November 13,
More informationGUIDELINES FOR THE MANAGEMENT OF SEXUALLY TRANSMITTED INFECTIONS
WHO/HIV_AIDS/2001.01 WHO/RHR/01.10 Original: English Distr.: General GUIDELINES FOR THE MANAGEMENT OF SEXUALLY TRANSMITTED INFECTIONS World Health Organization Copyright World Health Organization 2001.
More informationNothing to disclose.
Update on Diagnosis and Treatment Lisa Winston, MD University of California, San Francisco/ Zuckerberg San Francisco General Nothing to disclose. 1 This talk will be a little depressing Rising incidence
More informationHIV & Condomless Sex - What is the Risk? Why Not? Alan J. Taege, MD Assistant Professor of Medicine Department of Infectious Disease Cleveland Clinic
HIV & Condomless Sex - What is the Risk? Why Not? Alan J. Taege, MD Assistant Professor of Medicine Department of Infectious Disease Cleveland Clinic Yes No What s Going on Out There? Condomless Sex among
More informationCHLAMYDIA, GONORRHEA & SYPHILIS: STDS ON THE RISE
CHLAMYDIA, GONORRHEA & SYPHILIS: STDS ON THE RISE What are sexually transmitted diseases (STDs)? Sexually transmitted diseases (STDs) are passed from person to person through sexual activity. These infections
More informationSeveral of the most common STDs are often asymptomatic. Asymptomatic
What Are STDs? Several of the most common STDs are often asymptomatic. Asymptomatic Individuals show no symptoms, or the symptoms are mild and disappear after the onset of the infection Common STDs There
More informationCHLAMYDIA, GONORRHEA & SYPHILIS: STDS ON THE RISE
CHLAMYDIA, GONORRHEA & SYPHILIS: STDS ON THE RISE What are sexually transmitted diseases (STDs)? Sexually transmitted diseases (STDs) are passed from person to person through sexual activity. These infections
More information6/11/15. BACTERIAL STDs IN A POST- HIV WORLD. Learning Objectives. How big a problem are STIs in the U.S.?
BACTERIAL STDs IN A POST- HIV WORLD Tracey Graney, PhD, MT(ASCP) Monroe Community College Learning Objectives Describe the epidemiology and incidence of bacterial STDs in the U.S. Describe current detection
More informationSTIs in Native American Populations: Changing the Story
STIs in Native American Populations: Changing the Story Jill Huppert, MD MPH Chief, Program Development and Quality Improvement Division of STD Prevention Center for Disease Control and Prevention 6 th
More informationWomen at Risk for HIV/AIDS. November 1, 2010 UMDNJ RWJMS Department of Obstetrics, Gynecology and Reproductive Health Charletta A.
Women at Risk for HIV/AIDS November 1, 2010 UMDNJ RWJMS Department of Obstetrics, Gynecology and Reproductive Health Charletta A. Ayers, MD, MPH Objectives What is the prevalence of HIV in the US? Who
More informationKhalil G. Ghanem, MD, PhD Associate Professor of Medicine Johns Hopkins University School of Medicine. April 2, 2014
Khalil G. Ghanem, MD, PhD Associate Professor of Medicine Johns Hopkins University School of Medicine April 2, 2014 E-mail your questions for the presenter to: maphtc@jhsph.edu DISCLOSURES OFF- LABEL USES
More informationSexually Transmi/ed Diseases
Sexually Transmi/ed Diseases Chapter Fourteen 2013 McGraw-Hill Higher Education. All rights reserved. Also known as sexually transmitted infections The Major STDs (STIs) HIV/AIDS Chlamydia Gonorrhea Human
More informationSTD Essentials for the Busy Clinician. Stephanie E. Cohen, MD, MPH
STD Essentials for the Busy Clinician Stephanie E. Cohen, MD, MPH Assistant Professor, Division of Infectious Diseases, UCSF Medical Director, City Clinic San Francisco Department of Public Health Disclosures
More informationRefocussing on STI management to impact HIV prevention
Refocussing on STI management to impact HIV prevention Koleka Mlisana Head: Medical Microbiology (UKZN & NHLS) 14 June 2017: SA AIDS Conference NSP 2017 2022 Objectives Goal 1:Accelerate preventioninorder
More informationSTD & HIV ANNUAL REPORT. An Annual Review of HIV and STD s reported in Oakland County, Michigan
STD & HIV ANNUAL REPORT 2016 An Annual Review of HIV and STD s reported in Oakland County, Michigan Similar to numbers reported statewide, Oakland County saw an increase in the number of reported cases
More informationReducing Disparities in HIV and STDs: Tackling the Challenges in the Southern States and Puerto Rico
Reducing Disparities in HIV and STDs: Tackling the Challenges in the Southern States and Puerto Rico Kathleen McDavid Harrison, PhD, MPH, FACE Associate Director for Health Disparities National Center
More informationX-Treme Primary Care: HPV and STIs. Arti Barnes MD MPH Clinical Director South Central AIDS Education and Training Centers
X-Treme Primary Care: HPV and STIs Arti Barnes MD MPH Clinical Director South Central AIDS Education and Training Centers Learning Objectives Review recommendations for HPV related cancer screening in
More informationClinical Practice Objectives
STD Essentials for the Busy Clinician Susan S. Philip, MD, MPH Assistant Professor, Division of Infectious Diseases, UCSF Director, STD Prevention and Control Services San Francisco Department of Public
More informationSTD Prevention Among Youth
STD Prevention Among Youth Jody Pierce Glover New Beginnings Emer S. Smith, MPH Maine Center for Disease Control & Prevention In Today s Talk... Maine Learning Results: Education Content Areas Health Behaviors
More informationS403- Update on STIs for the Generalists
S403- Update on STIs for the Generalists Mobeen H. Rathore, MD Professor and Director University of Florida Center for HIV/AIDS Research Education and Service (UF CARES) Chief, Pediatric Infectious Diseases
More informationSexually Transmitted Diseases This publication was made possible by Grant Number TP1AH from the Department of Health and Human Services,
Sexually Transmitted Diseases This publication was made possible by Grant Number TP1AH000081-01-01 from the Department of Health and Human Services, Office of Adolescent Health; its contents are solely
More informationSTIs in the Indian Country
STIs in the Indian Country Multiple STI s and Risk for HIV Ryan Kreisberg, MPH Senior Epidemiologist, PRISM Data Manager Agenda STI/HIV Trends across the US and Arizona STIs in the Indian Country Multiple
More informationSexual Health, HIV, and STDs
Sexual Health, HIV, and STDs Richard J. Wolitski, PhD Deputy Director, Behavioral and Social Science Division of HIV/AIDS Prevention Centers for Disease Control & Prevention Fenway Institute, Boston, MA
More informationIn Canada and around the world, the trend is clear: sexually transmitted infections (STIs) are on the rise.
Adapted From: Sexually Transmitted Infections Pamphlet. Public Health Agency of Canada, 2007 In Canada and around the world, the trend is clear: sexually transmitted infections (STIs) are on the rise.
More informationSTI/HIV Update 6/7/2018. Objectives. Chlamydia
STI/HIV Update 2018 Kansas Immunization Conference June 12 th 2018, Salina, KS Stephanie Green STI/HIV Section Chief Jennifer VandeVelde Director, Bureau of Disease Control & Prevention Objectives 1. Participants
More informationSexually Transmitted Infections in Vulnerable Groups. Kevin Rebe
Sexually Transmitted Infections in Vulnerable Groups Kevin Rebe Definition: Key Populations Key populations are: Defined groups who, due to specific higher-risk behaviours, are at increased Men risk who
More informationScreening & Treating Chlamydia in Primary Care. Wednesday, September 21, 2016
Screening & Treating Chlamydia in Primary Care Wednesday, September 21, 2016 We Want To Hear From You! Type questions into the Questions Pane at any time during this presentation Patient-Centered Primary
More informationSay Ahhh!, STDs in Maine. Emer Smith, Maine CDC,
Say Ahhh!, STDs in Maine Emer Smith, Maine CDC, emer.smith@maine.gov Say AHHH! : STDs in Maine Emer S. Smith, MPH Maine Center for Disease Control & Prevention HIV, STD, & Viral Hepatitis Program April
More informationChapter 20: Risks of Adolescent Sexual Activity
Unit 7 Lesson 7.1 Notes Introductory Video Video STIs: Running the Risk Chapter 20: Risks of Adolescent Sexual Activity Section 1: What Are the Risks? Key Terms: Sexually Transmitted Disease (STD) an infectious
More informationHow is it transferred?
STI s What is a STI? It is a contagious infection that is transferred from one person to another through sexual intercourse or other sexually- related behaviors. How is it transferred? The organisms live
More informationForsyth County, North Carolina 2012 HIV/STD Surveillance Report
Forsyth County, North Carolina 2012 HIV/STD Surveillance Report Forsyth County Department of Public Health Division of Epidemiology and Surveillance 799 N. Highland Avenue Winston-Salem, NC 27102-0686
More informationClinical Education Initiative ADOLESCENTS AND STDS: CASE STUDIES. Tara Babu, MD
Clinical Education Initiative Support@ceitraining.org ADOLESCENTS AND STDS: CASE STUDIES Tara Babu, MD 2/16/2017 Adolescents and STDs: Case Studies [video transcript] 00:00:08 - Hello, my name is Tia Babu
More informationMSM&TGpopulations. Management in. Sex. Sex. Outline. STIs/HIV. Sex. Sexual fluidity and HIV. Risk behavior. Recreational drugs
Outline MSM = (at least) 9 patients /day Management in MSM&TGpopulations OPASSPUTCHAROEN M.D. CHULALONGKORNUNIVERSITY BANGKOK, TH /HIV Recreational drugs ual fluidity and HIV Risk behavior AIDS Patient
More informationSelassie AW (DBBE) 1. Overview 12 million incident cases per year $10 billion economic impact More than 25 organisms.
Infectious Disease Epidemiology BMTRY 713 (A. Selassie, DrPH) Lecture 12 Sexually Transmitted Diseases Learning Objectives 1. Review the epidemiology of sexually Transmitted Diseases 2. Assess the personal
More informationSetting the Context: Understanding the Numbers, Vulnerable Populations and Federal Public Health Policy
Setting the Context: Understanding the Numbers, Vulnerable Populations and Federal Public Health Policy David B. Johnson STD Disparities Coordinator, Division of STD Prevention National Center for HIV/AIDS,
More informationBest Practices in STD Partner Management
Best Practices in STD Partner Management An Overview of Patient-Delivered Partner Therapy (PDPT) and Counseling for Partner Notification and Treatment Amber Eisenmann, MS Director of Learning Exchange
More informationWhat you need to know to: Keep Yourself SAFE!
What you need to know to: Keep Yourself SAFE! What are sexually transmitted diseases (STDs)? How are they spread? What are the different types of STDs? How do I protect myself? STDs are infections or diseases
More informationPART 3: HOW TO PROVIDE STI TEST RESULTS
PART 3: HOW TO PROVIDE STI TEST RESULTS HOW TO PROVIDE STI TEST RESULTS When an individual receives a positive result, providers are required by law to provide treatment or refer the patient to treatment
More informationTimby/Smith: Introductory Medical-Surgical Nursing, 9/e
Timby/Smith: Introductory Medical-Surgical Nursing, 9/e Chapter 62: Caring for Clients With Sexually Transmitted Diseases Slide 1 Epidemiology Introduction Study of the occurrence, distribution, and causes
More information2017 EPIDEMIOLOGY REPORT
2017 EPIDEMIOLOGY REPORT Volume 4, July 2017 A report on sexually transmitted infection and human immunodeficiency virus testing, positivity, and behavioral trends from 2012 2016 HOWARD BROWN HEALTH 2017
More informationSTIs: Practical Aspects of Management
STIs: Practical Aspects of Management Dr Heather Young FAChSHM DipPH Christchurch Sexual Health heathery@xtra.co.nz 027 343 4963 Sexually Transmitted Infections BACTERIAL STIs: CHLAMYDIA GONORRHOEA SYPHILIS
More informationPREVENTION OF HIV IN THE TIMES OF PREP. Daniela Chiriboga, MD Florida Department of Health in Polk County
PREVENTION OF HIV IN THE TIMES OF PREP Daniela Chiriboga, MD Florida Department of Health in Polk County MAKING THE CASE FOR PREVENTION The Epidemic in Florida Population in 2014: 19.6 million (3 rd in
More informationDual Therapy: Symptoms and Screening:
5. Gonorrhea Gonorrhea is caused by Neisseria gonorrhoeae, a bacterium that can grow and multiply in the warm, moist areas of the reproductive tract, including the cervix (opening to the womb), uterus
More informationOverview. Disclosures. Sexually Transmitted Diseases: What s New in the Guidelines and Beyond?
Sexually Transmitted Diseases: What s New in the Guidelines and Beyond? Susan S. Philip, MD, MPH Director, Disease Prevention and Control Branch Population Health Division San Francisco Department of Public
More informationSTDs in HIV Clinical Care: New Guidelines on Treatment and Prevention
STDs in HIV Clinical Care: New Guidelines on Treatment and Prevention Palliative Care Conference Faculty Development Conference August 13, 2015 Steven C. Johnson M.D. Director, University of Colorado HIV/AIDS
More informationSTD/HIV Program Update
Department of Health and Human Services Olivia Kasirye MD, MS Public Health Officer Reportable STDs Bacterial Chlamydia Gonorrhea Syphilis Viral HIV/AIDS Hepatitis B Hepatitis C December 8, 2015 2 Five
More informationINTEGRATING HIV INTO PRIMARY CARE
INTEGRATING HIV INTO PRIMARY CARE ADELERO ADEBAJO, MD, MPH, AAHIVS, FACP NO DISCLOSURE 1.2 million people in the United States are living with HIV infection and 1 in 5 are unaware of their infection.
More informationIndex. Infect Dis Clin N Am 19 (2005) Note: Page numbers of article titles are in boldface type.
Infect Dis Clin N Am 19 (2005) 563 568 Index Note: Page numbers of article titles are in boldface type. A Abstinence in genital herpes management, 436 Abuse sexual childhood sexual behavior effects of,
More informationWelcome to 4 th Syphilis Report to the Community. May 18, 2016
Welcome to 4 th Syphilis Report to the Community May 18, 2016 Syphilis and STDs in Bexar County Anil T. Mangla, MS, PhD, MPH, FRIPH Assistant Director of Health Syphilis Update to the Community May 18,
More informationJulie Nelson RNC/WHNP-BC Epidemiology NURS 6313
Julie Nelson RNC/WHNP-BC Epidemiology NURS 6313 Chlamydia Most frequently reported bacterial STI in the US In 2006, In U.S. 1,030,911 cases were reported. Estimated 2,291,000 infections in 14-39 year olds.
More informationSexually Transmitted Infections
NGO Initiatives to Prevent HIV/AIDS Sexually Transmitted Infections 5/F Unit 506, Tower II Cityland Condominium 10 154 H.V. dela Costa Street, Salcedo Village, Makati City 1227 Tel: 632 817-5049 Fax: 632
More informationCommunicable Diseases
Communicable Diseases Communicable diseases are ones that can be transmitted or spread from one person or species to another. 1 A multitude of different communicable diseases are currently reportable in
More informationPrEP for Women: HIV Prevention in Family Planning Settings
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention PrEP for Women: HIV Prevention in Family Planning Settings Dawn K. Smith, MD, MS, MPH Division of HIV/AIDS Prevention dsmith1@cdc.gov
More informationGONORRHEA; ACUTE Does Not Include Chronic Gonorrhea
1 ID 13 GONORRHEA; ACUTE Does Not Include Chronic Gonorrhea Background This case definition was developed in 2013 by the Armed Forces Health Surveillance Center (AFHSC) for the purpose of epidemiological
More informationForsyth County, North Carolina 2013 HIV/STD Surveillance Report
Forsyth County, North Carolina 2013 HIV/STD Surveillance Report Forsyth County Department of Public Health Division of Epidemiology and Surveillance 799 N. Highland Avenue Winston-Salem, NC 27102-0686
More informationChlamydia Trachomatis and Neisseria Gonorrhoeae. Khalil G. Ghanem, MD Johns Hopkins University
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this
More informationDisclosures. STD Screening for Women. Chlamydia & Gonorrhea. I have no disclosures or conflicts of interest to report.
Disclosures Management of STIs: Challenges in Practice I have no disclosures or conflicts of interest to report. Alison O. Marshall, MSN, FNP-C Associate Professor of Practice & Director of the Family
More informationSEXUALLY TRANSMITTED DISEASES (INFECTIONS)
SEXUALLY TRANSMITTED DISEASES (INFECTIONS) HIV/AIDS - TRANSMISSION Sexual intercourse Anal, oral, & vaginal Multiple partners Sharing needles Mother to infant Born or breast milk Blood transfusions Open
More informationSTI s. (Sexually Transmitted Infections)
STI s (Sexually Transmitted Infections) Build Awareness In Canada and around the world, the trend is clear: sexually transmitted infections (STIs) are on the rise. One of the primary defenses in the fight
More informationBiology 3201 Unit 2 Reproduction: Sexually Transmitted Infections (STD s/sti s)
Biology 3201 Unit 2 Reproduction: Sexually Transmitted Infections (STD s/sti s) STI s once called venereal diseases More than 20 STIs have now been identified most prevalent among teenagers and young adults.
More informationThe Forensic Evaluation of Sexually Transmitted Diseases in Childhood. VFPMS seminar 2018 Jo Tully
The Forensic Evaluation of Sexually Transmitted Diseases in Childhood VFPMS seminar 2018 Jo Tully Infidelity STD s are unique infections because they may imply.. Immorality Serious criminal offending Why
More informationTeacher Resource: Anecdotal Recording Chart. Class: Specific Expectations: Success Criteria: (Page 1 of 2) Student Name. Observation.
Teacher Resource: Anecdotal Recording Chart (Page 1 of 2) Class: Specific Expectations: Success Criteria: Student Name Observation Student Name Observation Student Name Observation Teacher Resource: Anecdotal
More informationFinding the Positives: Routine HIV Testing and Prevention
Finding the Positives: Routine HIV Testing and Prevention Pennsylvania Nurse Practitioner Coalition Conference Friday November 4, 2016 NELLIE RIENDEAU LAZAR, MSN, CRNP, AAHIVM CHILDREN S HOSPITAL OF PHILADELPHIA
More informationRecent HIV infections- GMHS 2012
Recent HIV infections- GMHS 2012 52 new diagnoses of HIV at Gay Men s Health in 2012 19 (37%) were infected within 12 months prior to diagnosis Median age 32 years (range 20-42 years) Country of birth
More informationPractice Steps for Implementation of Guidelines Recommendations The guideline recommendations are shown schematically -
ASK SCREEN Test for HIV and STI Practice Steps for Implementation of Guidelines Recommendations The guideline recommendations are shown schematically - Routinely obtain a thorough sexual history from all
More informationHoward Brown Health Center
Howard Brown Health Center STI Annual Report, Background Howard Brown is the largest LGBT health center in the Midwest, providing comprehensive medical and behavioral health services to over, adults and
More informationSexually Transmitted Disease (STD) Surveillance Report, 2016
Sexually Transmitted Disease (STD) Surveillance Report, 2016 Minnesota Department of Health STD Surveillance System STD/HIV/TB Section Introduction Under Minnesota law, physicians and laboratories must
More informationWelcome to: Coding Scenarios for STD Clinic Visits. We will begin in a few minutes. There will be no sound until the webinar starts.
Welcome to: Coding Scenarios for STD Clinic Visits We will begin in a few minutes. There will be no sound until the webinar starts. Welcome to: Coding Scenarios for STD Clinic Visits You are using audio
More informationLET S TALK about How do you let your partners know they have been exposed to HIV?
LET S TALK about How do you let your partners know they have been exposed to HIV? LET US HELP YOU. Partner Services will help you inform your partners about their exposure What is Partner Services? Partner
More information